NPIMap

Organization Active NPI

Contact Lens and Vision Associates, P.a

  • Optometrist
  • Freehold, NJ
National Provider Identifier
1922211978
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CONTACT LENS AND VISION ASSOCIATES, P.A
Practice address
3710 Route 9 South
Freehold, NJ 07728
Phone
(732) 780-3000
Fax
(732) 780-1235
NPI assigned
May 7, 2007
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeffery Case, O.D.
Title
President
Phone
(732) 780-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3710 Route 9 South
Freehold, NJ 07728

Mailing address

3710 Route 9 South
Freehold, NJ 07728
Phone (732) 780-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041117000870 NJ Part B Supplier - Clinic/Group Practice 1850355975 Receives reassigned benefits from 16 practitioners
Practice locations: Edison, NJ; Freehold, NJ

National Provider Directory

National Provider Directory

Locations

3710 Route 9 S
Ste 1501
Freehold, NJ 07728
Phone (732) 780-3000

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1922211978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 ROUTE 9 SOUTH",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-780-3000",
            "fax_number": "732-780-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 ROUTE 9 SOUTH",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-780-3000",
            "fax_number": "732-780-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTACT LENS AND VISION ASSOCIATES, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "17327803000",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.